Graduated: 1996
NPI: 1376520684
Practice Locations (7)
PROACTIVE THERAPY OF NORTH CAROLINA INC
1109 MEMORIAL DR E
AHOSKIE, NC 279103919
2523326760
VIDANT MEDICAL GROUP LLC
401 A N MAIN ST
KENANSVILLE, NC 283498801
9102960941
VIDANT MEDICAL GROUP LLC
401 N MAIN ST
KENANSVILLE, NC 283498801
9102960941
VIDANT MEDICAL GROUP LLC
417 N MAIN ST
KENANSVILLE, NC 283498801
9102968080
VIDANT MEDICAL GROUP LLC
2906 N MAIN ST
TARBORO, NC 278861921
2528237212
VIDANT MEDICAL GROUP LLC
111 HOSPITAL DR
TARBORO, NC 278862011
2526418585
VIDANT MEDICAL GROUP LLC
105 HOSPITAL DR
TARBORO, NC 278862011
2526417714
Source: CMS National Downloadable File, September 2026.